Visceral pleural biopsy under medical thoracoscopy for the diagnosis of lung adenocarcinoma
| Autor: | Hiroaki Kawachi, Susumu Noguchi, Tatsuyoshi Ikeue, Takakazu Sugita, Satoshi Terashita, Keiichiro Suminaga |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Biopsy thoracoscopy Case Report Case Reports Lung injury 03 medical and health sciences 0302 clinical medicine medicine Thoracoscopy lcsh:RC705-779 Lung Thoracoscope medicine.diagnostic_test business.industry lcsh:Diseases of the respiratory system visceral pleura respiratory system lung adenocarcinoma medicine.disease medical thoracoscopy respiratory tract diseases medicine.anatomical_structure 030228 respiratory system Pneumothorax 030220 oncology & carcinogenesis Adenocarcinoma Radiology business Pleural biopsy |
| Zdroj: | Respirology Case Reports Respirology Case Reports, Vol 8, Iss 6, Pp n/a-n/a (2020) |
| ISSN: | 2051-3380 |
| DOI: | 10.1002/rcr2.616 |
| Popis: | Medical thoracoscopy is a minimally invasive single‐port endoscopic technique that provides direct visualization of the pleural surface and allows for diagnostic procedures. The diagnostic yield of medical thoracoscopy is high and is generally based on parietal pleural biopsy findings. Pleural biopsies are valuable for a diagnosis. However, visceral pleural biopsies are uncommon because of the risk of prolonged air leak. In this study, we report a rare case of the successful diagnosis of lung adenocarcinoma, based on the findings of visceral pleural biopsy under medical thoracoscopy. To avoid lung injury and pneumothorax, we focused on maintaining the thoracoscope and biopsy forceps in a straight angle as much as possible. While looking straight ahead at the visceral pleural nodule as closely as possible, biopsy samples were carefully obtained while confirming that the normal lung was not held. With careful consideration, visceral pleural biopsies may expand the diagnostic capability of medical thoracoscopy. In this study, we report a rare case of the successful diagnosis of lung adenocarcinoma, based on the findings of visceral pleural biopsy under medical thoracoscopy. |
| Databáze: | OpenAIRE |
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